After recently posting Beware of the Holy Trinity, Dr. Thomas Sachy contacted me with concerns for knowledgeable clinicians that carefully consider the complexities of “individualized therapeutics”, and of course the patients that might benefit from the “Holy Trinity”. Of course, I respectfully acknowledge his concerns and advocate for clinicians that are savvy in pharmacotherapeutics and […]

Pain colleague Dr. Jay Joshi recently wrote a blog for National Pain Report entitled What is worse, the Opioid Epidemic or the Stupidity Epidemic? The title was a grabber for me, and sparked me to highlight his article here and provide some evidence and discussion around the topic. I do encourage you to read his commentary. […]

Tiger Woods’ Arrest Brings Attention to the Growing National Problem of Drugged Driving (Posted on PPM June 5, 2017). Some snippets of the Practical Pain Management article include the following: Regardless of what he was taking, both doctors agree he should not have been driving but Dr. Fudin adds that the ability to drive depends […]

As originally described by Walter Bradford Cannon, “the fight-or-flight response (also called hyperarousal, or the acute stress response) is a physiological reaction that occurs in response to a perceived harmful event, attack, or threat to survival.” I can’t help but wonder if the recent lawsuits brought against several Big Pharma opioid manufacturers by various states has placed […]